Commonly used substance use disorder screening instruments. Asimv addiction severity indexmultimedia version is the electronic version of the traditional paper and penciladministered asi. This section will address the severity of alcohol andor substance abuse. Bhimv asimv addiction severity indexmultimedia version. Mccaffrey initial pain assessment tool pdf, 111kb tenitem questionnaire to assess a patients pain.
Addiction severity index, 5th edition clinicaltraining version a. We feel the composite scores are better indicators of. It is the interviewers belief that both alcohol and drugs are his most significant substance abuse problem. It is a semistructured assessment instrument designed for use with clients for substance abuse treatment. Assessing parental substance use disorders child welfare. Located on the eap billing form to be completed by clinician with client, or clients family member when screening indicates sacd issues. Screening and assessment tools chart national institute. The addiction severity index asi is one of the most widely used tools for the assessment of substance use related problems in adults. In the description of each tool, the definition follows the tool acronym. The addiction severity indexmultimedia version asimv is another good example of a commonly used diagnostic instrument that is available as a selfadministered computerized version. A substance abuse assessment is the followup step to screenings. Clinical opiate withdrawal scale for each item, circle the number that best describes the patient s signs or symptom.
It is administered as a semistructured interview and gathers information in seven domains i. Associate professor of psychiatry alcohol research center university of connecticut health center school of medicine 263 farmington avenue farmington, ct. A vast amount of literature exists on screening, assessment, and treatment planning in substance abuse treatment and an equally vast amount in mental health settings. Substance abuse has no universally accepted definition. The asimv is a pcbased program that leads the user through a series of video interviews corresponding to the domains assessed in the asi.
The addiction severity index asi, used throughout the united states and other countries, is the most widely used assessment tool in the addictions field. Assessment in substance abuse counseling has a different focus. Substance abuse evaluation tools and forms the recovery. Opioid use disorder treatment find practice guidance on oud treatmentincluding emergency and overdose treatmentas well as information about getting a buprenorphine waiver. The same items are used in initial and followup scores. Examples of screening and assessment tools for substance use disorders. Asi addiction severity index aais adolescent alcohol involvement asma assessment of substance misuse scale in adolescents aas addiction admission scale asmast adapted short michigan alcoholism aase alcohol abstinence selfefficacy screening test. This appendix provides information about and samples of screening and assessment tools for substance use disorders. While screenings outline whether substance abuse was a possibility, assessments establish if it is present or not. Commonly used substance use disorder screening instruments instrument populations description accessmore information alcohol, smoking, and substance involvement screening test assist adults, adolescents an 8item screening tool developed for the world health organization who by an international group of substance abuse researchers to. Drug and alcohol use alcohol screening and brief intervention for youth. Addiction severity index asi the asi is a semistructured interview designed to address seven potential problem areas in substance abusing patients.
A practitioners guide is designed to help health care professionals quickly identify youth at risk for alcohol related problems. Substance abuse refers to the use of substances in ways outside of societal conventions and that have an adverse effect on an individual. Medical, employment support status, alcohol, drug, legal. The addiction severity index asi is 12 years old and has been revised to include anew section on family history of alcohol, drug, and psychiatric problems. An improved diagnostic evaluation instrument for substance abuse patients. Screening and assessment tools chart national institute on.
The addiction severity index asi is a semistructured interview for substance abuse assessment and treatment planning. All material appearing in this volume, except quoted passages from ed sources, is in the public domain and may be reproduced or copied without permission from the center for substance abuse treatment csat or the authors. Quick screen nmassist see apa adapted nm assist tools. In addition, the center for substance abuse treatment csat has approved treatment. Addiction severity index asi addiction severity index asi brief description target populations administrative issues the asi is a semistructured interview designed to address seven potential problem areas in substanceabusing patients.
Drug testing methodologies appendix a screening instruments for suicide risk appendix b. At the conclusion of this training, a participant will be able to outline a biopsychosocialspiritual assessment. Drug abuse screening test dast all the dast drug abuse screening test versions screen for problems with the use of drugs only. Us department of health and human services, substance abuse and mental health services administration, center for substance abuse treatment. Newton, ma rp4 relapse prevention self assessment what specific behaviors and other warning signs preceded your most recent relapse.
The addiction severity index lite asi lite adapted from. Therefore, it only takes place if there is a clear substance abuse likelihood identified. Superscripts indicate the category of substance with which each symptom is. A substance abuse evaluation is a clinical tool to determine what is going on with a person who may be struggling with addiction. Mclellan, at, luborsky, l, woody, ge, obrien cp 1980.
Previous alcohol specific treatment was reported by 37% of this sample, while 21 % ha d receive drug specific treatment. The asi gathers information in seven important areas of a patients life. The semistructured interview was designed to address seven potential problem areas in substance abusing clients. Screening and assessment for alcohol and other drug abuse.
The dast10 drug abuse screening test10 is the shortened and more commonly used version of a 20item dast20 or the original 28item version. Texas christian university, institute of behavioral research. Workshop 2 handout 1 making required data collection useful he has no history of regular or ongoing use of inhalants. Addiction severity index lite cf clinicaltraining version thomas mclellan, ph. Kentucky drug court asi questionnaire 2001 uk cdar. Medical, employmentsupport status, alcohol, drug, legal, familysocial, and psychological. Domestic violence evaluation screeningassessment tools. He has an alcohol problem of substantial concern and help obtaining appropriate treatment is vital at this time.
Considerably less material has been published on screening, assessment, and treatment planning specifically addressing persons with or suspected of having cod. This list is in alphabetical order based on the tool acronym. The asi was the first standardized assessment tool of its kind to measure the multiple dimensions of substance abuse. For ease of reference, several types of screening and assessment instruments discussed in the monograph are listed in the appendices, as indicated below. Template for assessing a clients substance use developed by. One example of an acceptable instrument is the substance abuse subtle screening inventory sassi. Associate professor of psychiatry alcohol research center university of connecticut health center school of medicine 263 farmington avenue farmington, ct 060302103.
Clinical opiate withdrawal scale pdf, 606kb elevenitem scale to assess common opiate withdrawal symptoms. Alcohol screening questionnaire audit our clinic asks all patients about alcohol use at least once a year. Our products include adult, adolescent, criminal justice and cooccurring assessments. How much time elapsed between the time you noticed warning signs and the time you actually used drugs andor alcohol. The asi is a semistructured interview designed to address seven potential problem areas in substanceabusing patients. A sample of 82 randomly selected patients from substance abuse treatment programs were interviewed with the asi 6, the asi 5 and were administered a validity battery of selfquestionnaires that included measures corresponding to each of the asi domains. Rate on just the apparent relationship to opiate withdrawal. Recommended by the american academy of pediatrics committee on substance abuse for. University of washington and alcohol and drug abuse institute 2019 assists clinicians and researchers in finding instruments used for screening and assessment of substance use and substance use disorders.
Reliability and validity of the addiction severity index. The interviewer will address an abundance of possible uses that may require assistance for the patients treatment plan, if any. Tcu drug screen 5 institute of behavioral research. Substance abuse services printing facility composite scores there is a composite score for each problem area of the asi that has been derived from sets of items within each of the asi problem areas. This tool serves as a guidance instrument in treatment planning. Training for and maintaining interviewer consistency with the asi, journal of substance. The purpose of the dast is 1 to provide a brief, simple, practical, but valid method for identifying individuals who are abusing psychoactive drugs. Addiction severity index asi is an assessment tool widely used in the evaluation of substance abuse treatment. Reproductions supplied by edrs are the best that can be made. The asi is most useful as a general intake screening tool. Feel free to contact the authors for additional information. Template for assessing a clients substance use developed by cynthia gliddentracey, ph. The addiction severity index asi, for example, identifies client needs or problems by using a semistructured interview format. This publication is part of the substance abuse prevention and treatment block grant technical assistance program.
Abbreviations and acronyms national institute on alcohol. Pain assessment and documentation tool pdf, 426kb tool to assess painrelated outcomes and document longterm pain management. To answer this question, we need to remember that the addiction severity index was created in 1980 to enable clinical researchers to evaluate treatment outcomes. Addiction severity index an overview sciencedirect topics. Items with an asterisk are cumulative and should be. For example, if heart rate is increased because the patient was jogging just prior to assessment, the increase pulse rate would not add to the score. The bhimv behavioral health indexmultimedia version is an online, client selfadministered comprehensive behavioral health assessment tool which provides an overview of the clients functioning in multiple. Department of health and human services public health service substance abuse and mental health services administration. For each area, i will ask you to use this scale to let me know how bothered you have been by any problems in each. Screening instrument for substance abuse when referring to this screening instrument. Recommended by the american academy of pediatrics committee on substance abuse for use with adolescents under the age of 21. The addiction severity index asi is an instrument that is used in assessing the extent of a substance use disorder that has resulted in someone being referred to treatment. In 1 hour, a skilled interviewer can gather information.
The asi guides delivery of services that the client needs. Asi manual united nations office on drugs and crime. Absenteeism tardiness accidents working while hungover trouble concentrating decreased job performance consumed substances while at work lost job in past due to substance abuse no work problems comments. It includes subtle items to identify those who may be unwilling or unable to admit substance abuse. Reproductions supplied by edrs are the best that can be. The asi was developed to serve as a standardized and reliable instrument for evaluating adults seeking treatment for substance abuse problems and is used frequently in a host of clinical, adult justice, and research settings. Additionally, an evaluation may include questions that can identify any cooccurring issues, such as a mental health disorder or physical health issue. Supplementary administration manual for the expanded female version of the addiction severity index asi instrument the asif. Substance use screening and assessment database this resource created by the alcohol and drug abuse institute library at the university of washington is intended to help clinicians and researchers find instruments used for screening and assessment of substance use and substance use disorders. Please help us provide you with the best medical care by answering the questions below. The national institute on alcohol abuse and alcoholism niaaa developed the guide in collaboration with the american academy of pediatrics, a team of underage drinking researchers and. It effectively assesses a clients status in several areas, and the composite score measures how a clients need for treatment changes over time. A 6question behavioral health screening tool to screen adolescents for high risk alcohol and other drug use disorders simultaneously. Net page 1 template for assessing a clients substance use developed by cynthia gliddentracey, ph.
Addiction treatment get addiction treatment resources for your practiceincluding researchbased guides. Instruments whose validity and reliability have been. Template for assessing a clients substance use developed. This instrument is an interview process that assesses history, frequency, and consequences of alcohol and drug use. The asi is designed to gather valuable information about areas of a clients life that may contribute to their substanceabuse problems. The addiction severity index asi to examine substance use disorders. The interviewer will ask about each possible substance one by one using the following routing of administration and the frequency of use. Screening and assessment for alcohol and other drug abuse among adults in the criminal justice system treatment improvement protocol tip series 7 james a. Supplementary administration manual for the expanded female version of the addiction severity index asi instrument the asi f. Thomas mclellan, along with collaborators from the. Journal of substance abuse treatment, 9, 1992, 1992. What to expect at a substance abuse evaluation addiction. It has been used in criminal justice, employee assistance, and educational, mental health, medical and vocational settings.
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